0000943034-17-000005.txt : 20170314 0000943034-17-000005.hdr.sgml : 20170314 20170314175925 ACCESSION NUMBER: 0000943034-17-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170308 FILED AS OF DATE: 20170314 DATE AS OF CHANGE: 20170314 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: IMAGE SENSING SYSTEMS INC CENTRAL INDEX KEY: 0000943034 STANDARD INDUSTRIAL CLASSIFICATION: MEASURING & CONTROLLING DEVICES, NEC [3829] IRS NUMBER: 411519168 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 500 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE CITY: ST PAUL STATE: MN ZIP: 55104-3825 BUSINESS PHONE: 6516037700 MAIL ADDRESS: STREET 1: 500 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE W. CITY: ST PAUL STATE: MN ZIP: 55104 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ehrich Richard A. CENTRAL INDEX KEY: 0001678323 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-35959 FILM NUMBER: 17689234 MAIL ADDRESS: STREET 1: 500 SPRUCE TREE CENTRE STREET 2: 1600 UNIVERSITY AVE W. CITY: ST. PAUL STATE: MN ZIP: 55104 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2017-03-08 0 0000943034 IMAGE SENSING SYSTEMS INC isns 0001678323 Ehrich Richard A. 500 SPRUCE TREE CENTRE 1600 UNIVERSITY AVE W. ST. PAUL MN 55104 0 1 0 0 CFO Common Stock 2017-03-08 4 A 0 10000 0 A 23436 D Consists of an award of restricted stock that will vest as to one-third of the shares subject to the awards on each of the first, second and third anniversary dates of the date of grant if Mr. Ehrich is then an employee of the Image Sensing System, Inc. /s/ Richard A. Ehrich 2017-03-14